Vernet's Syndrome Associated with Internal Jugular Vein Thrombosis

Lee, Myungah; Heo, Youngjae; Kim, Tae−Won

doi:10.1016/j.jstrokecerebrovasdis.2018.10.008

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…Jugular foramen syndrome (or Vernet's syndrome), characterised by paresis of cranial nerves IX, X and XI has been previously reported in the literature. 3,4 However, there is no previous report of vagus nerve palsy occurring in isolation secondary to a parapharyngeal abscess.…”

Section: Discussionmentioning

confidence: 99%

Parapharyngeal abscess and vocal cord palsy caused by minor salivary gland sialadenitis: an atypical presentation treated using an endoscopic surgical approach

Kumar

Thomas

Darr

et al. 2020

annals

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Parapharyngeal infections carry a significant risk of extensive suppuration and airway compromise. We report the case of a patient presenting with a right paranasopharyngeal abscess, featuring atypical symptoms that made diagnosis particularly challenging. Complications included evidence of right vocal cord paralysis, likely secondary to involvement of the vagus nerve. Notably, this paralysis occurred in isolation, without involvement of cranial nerves IX or XI, which would be expected from jugular foramen encroachment. Imaging demonstrated the presence of a collection extending towards the skull base, which was drained using a transnasal endoscopic approach, avoiding the use of external incisions. Tissue biopsies from the abscess wall suggest that the underlying aetiology was minor salivary gland sialadenitis, which has not been previously reported in the literature.

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Section: Discussionmentioning

confidence: 99%

Parapharyngeal abscess and vocal cord palsy caused by minor salivary gland sialadenitis: an atypical presentation treated using an endoscopic surgical approach

Kumar

Thomas

Darr

et al. 2020

annals

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“…Although paraganglioma of the head and neck is by far the most frequent aetiology, it may also be caused by meningioma, schwannoma of the VIII cranial nerve, metastases in the pontocerebellar cistern, head and neck trauma, infections (some rare infections caused by varicella zoster virus), cholesteatoma extending to the petrous apex or jugular vein thrombosis 2 7 8…”

Section: Discussionmentioning

confidence: 99%

Vernet syndrome: intracranial extension of a slow-growing mass

et al. 2019

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Vernet syndrome, often referred to as jugular foramen syndrome, is a rare clinical entity characterised by a set of signs and symptoms caused by dysfunction of IX, X and XI cranial nerves. Although paraganglioma of the head and neck is the most frequent aetiology, it may also be caused by meningioma, VIII cranial nerve schwannoma, pontocerebellar cistern metastases, head and neck trauma, infections and very rarely by cholesteatoma which extends to the petrous apex. The authors describe a case of a patient with a jugulotympanic paraganglioma in which evolution ends up in Vernet syndrome. The patient preferred a ‘wait and scan’ strategy. With the lack of data available to develop an unequivocal algorithm for paraganglioma management, we always consider not only age but also comorbidities, prior treatment and progression of the lesion. Each case has to be addressed individually and treatment should be discussed in detail with every patient.

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“…10 Jugular foramen syndrome is considered a rare clinical presentation in human beings, with the most common underlying aetiology being paraganglionoma of the head and neck. 12 While not an exhaustive list, other reported aetiologies have included jugular vein thrombosis, 13 local metastatic lesions 14 and skull base osteomyelitis secondary to chronic otitis media. 15 In the osteomyelitis case reported by Low and Lhu, 15 the disease extended to involve cranial nerve XII, producing a related condition, Collet-Sicard syndrome.…”

Section: Figurementioning

confidence: 99%

Vernet’s syndrome (jugular foramen syndrome) secondary to osteoma of the tympanic bulla in a young male dog

Ruaux

Champion

Pemberton

et al. 2020

Vet Record Case Reports

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A one-year-old male neuter dog initially presented with clinical signs of pharyngitis and suspected oesophageal reflux. The dog subsequently developed unilateral (left side) Horner’s syndrome. CT examination of the head and neck revealed a large mixed bone and soft tissue density lesion filling the majority of the left tympanic bulla and extending into the jugular foramen. Marked atrophy of the left sternocephalicus and brachiocephalicus muscles was present. Following recovery from anaesthesia, the dog suffered regurgitation and aspiration, resulting in respiratory and cardiac arrest. Given the imaging findings and grave prognosis, the dog’s owners elected euthanasia. Autopsy examination revealed a tympanic bulla osteoma. The combination of cranial nerve IX, X and XI dysfunction, associated with disease of the jugular foramen, supports a diagnosis of Vernet’s syndrome in this patient.

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Vernet's Syndrome Associated with Internal Jugular Vein Thrombosis

Cited by 5 publications

References 4 publications

Parapharyngeal abscess and vocal cord palsy caused by minor salivary gland sialadenitis: an atypical presentation treated using an endoscopic surgical approach

Parapharyngeal abscess and vocal cord palsy caused by minor salivary gland sialadenitis: an atypical presentation treated using an endoscopic surgical approach

Vernet syndrome: intracranial extension of a slow-growing mass

Vernet’s syndrome (jugular foramen syndrome) secondary to osteoma of the tympanic bulla in a young male dog

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